TMC Staff Nurse 2019 question paper

TMC Staff Nurse · 2019 · 50 questions · 60 minutes · 0.25 mark deducted per wrong answer

Medical & Surgical Nursing 23
Child Health Nursing (Pediatrics) 11
Mental Health Nursing 3
Nursing Foundations 3
Applied Microbiology & Infection control 3
Pharmacology 2
Applied Psychology 2
Obstetrics & Gynaecology 1
Community Health Nursing 1
Applied Physiology 1

See the answers and explanations

Q1 · Child Health Nursing (Pediatrics) · Hematological Disorders
A child is on oral iron preparation, what is the important teaching point for this child?
1. A.
  Take iron preparations in empty stomach
2. B.
  Do not take iron preparations with Milk
3. C.
  Allow the child to take diluted iron
4. D.
  All of the above
Answer and explanation
Q2 · Medical & Surgical Nursing · Pain Management
Main clinical symptom of hiatus hernia is?
1. A.
  Vomiting
2. B.
  Heart burn
3. C.
  Lower abdominal pain
4. D.
  Diarrhea
Answer and explanation
Q3 · Medical & Surgical Nursing · Sensorineural Function
Tonometry test of eye measures?
1. A.
  Peripheral vision of the eye
2. B.
  Measures the intra ocular pressure
3. C.
  Measures the visual acuity
4. D.
  Determines the tone of eye to sudden increase in IOP
Answer and explanation
Q4 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Priority treatment for ventricular fibrillation includes?
1. A.
  Regular ECG
2. B.
  Cardiac Catheterization
3. C.
  CPR & Defibrillation
4. D.
  Suitable position
Answer and explanation
Q5 · Medical & Surgical Nursing · Metabolic and Endocrine Function
The best marker for Thyroid related disorder?
1. A.
  T3
2. B.
  T4
3. C.
  TSH
4. D.
  Thyroglobulin
Answer and explanation
Q6 · Child Health Nursing (Pediatrics) · Modern concepts of child- care
The modern concept of pediatrics means?
1. A.
  Short term care of the child
2. B.
  Basic care of the child
3. C.
  Continuous and preventive care of whole child
4. D.
  Terminally ill care of the child
Answer and explanation
Q7 · Mental Health Nursing · Personality and Sexual Disorders
A person who is aloof, isolated and does not socialize, falls into which of the following category?
1. A.
  Withdrawn
2. B.
  Anxious
3. C.
  Aggressive
4. D.
  Obsessive
Answer and explanation
Q8 · Obstetrics & Gynaecology · Genital Malignancy
Which of the following condition is screened by Pap smear?
1. A.
  Endometrial cancer
2. B.
  Cervical cancer
3. C.
  Ovarian cancer
4. D.
  Breast cancer
Answer and explanation
Q9 · Medical & Surgical Nursing · Immunologic Function
Most important assessment of a patient with severe allergic reaction?
1. A.
  Blood pressure
2. B.
  Skin color
3. C.
  Heart rate
4. D.
  Urine output
Answer and explanation
Q10 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
Which of the following behavior of the patient indicate the best initial step in learning to care for his/her colostomy?
1. A.
  Delays colostomy treatment for a later time
2. B.
  Promises he/she will begin to listen from next day
3. C.
  Agrees to look at the colostomy
4. D.
  States that colostomy care is the function of the Nurse while in hospital
Answer and explanation
Q11 · Mental Health Nursing · Eating Disorders
Nurse A is caring for a patient diagnosed with bulimia. The most appropriate initial goal for a patient diagnosed to avoid bulimia is?
1. A.
  Encourage to avoid foods
2. B.
  Identify anxiety causing situation
3. C.
  Eat only three meals a day
4. D.
  Avoid shopping plenty of groceries
Answer and explanation
Q12 · Child Health Nursing (Pediatrics) · Diseases of Gastrointestinal System and Liver
Projectile vomiting is a characteristic of which of the following conditions?
1. A.
  Pyloric stenosis
2. B.
  Hernia
3. C.
  Imperforate Anus
4. D.
  Appendicitis
Answer and explanation
Q13 · Medical & Surgical Nursing · Neurologic Function
Bell's palsy is associated with the lesion in?
1. A.
  11th cranial nerve
2. B.
  9th cranial nerve
3. C.
  7th cranial nerve
4. D.
  3rd cranial nerve
Answer and explanation
Q14 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract
The primary purpose of administering corticosteroids to child with Nephrotic syndrome is to?
1. A.
  Prevent infection
2. B.
  Control inflammation
3. C.
  Decrease proteinuria
4. D.
  Increase blood pressure
Answer and explanation
Q15 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System
Failure of the Foramen Ovale to close will lead to?
1. A.
  Atrial Septal Defect
2. B.
  Ventricular Septal Defect
3. C.
  Patent Ductus arteriosus
4. D.
  Transposition of great arteries
Answer and explanation
Q16 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Most common cause for Chronic Asthma?
1. A.
  Atelectasis
2. B.
  Pulmonary fibrosis
3. C.
  Pneumonia
4. D.
  Emphysema
Answer and explanation
Q17 · Pharmacology · Chemotherapy of Neoplastic Drugs
Most common side effect of anti-neoplastic agents is?
1. A.
  Nausea
2. B.
  Vomiting
3. C.
  Constipation
4. D.
  Alopecia
Answer and explanation
Q18 · Medical & Surgical Nursing · Other Acute Problems
Sequence of basic life support is?
1. A.
  ABC
2. B.
  CAB
3. C.
  CBA
4. D.
  ACB
Answer and explanation
Q19 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A person with active Tuberculosis on treatment with Category I treatment will have maintenance phase for months?
1. A.
  2 months
2. B.
  3 months
3. C.
  4 months
4. D.
  5 months
Answer and explanation
Q20 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Earliest clinical feature of primary biliary cirrhosis is?
1. A.
  Pain
2. B.
  Pruritis
3. C.
  Fever
4. D.
  Jaundice
Answer and explanation
Q21 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Which cardiac marker is raised first in myocardial infarction?
1. A.
  CK-MB
2. B.
  SGOT
3. C.
  Myoglobin
4. D.
  Troponin
Answer and explanation
Q22 · Child Health Nursing (Pediatrics) · Childhood Malignancies
A child is diagnosed with Wilms tumor. During assessment, the nurse expects to detect?
1. A.
  Gross haematuria
2. B.
  Dysuria
3. C.
  Oliguria
4. D.
  Abdominal mass
Answer and explanation
Q23 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Most common opportunistic infection in HIV positive patient is?
1. A.
  Pneumonia
2. B.
  Tuberculosis
3. C.
  Meningitis
4. D.
  Kaposi's Sarcoma
Answer and explanation
Q24 · Nursing Foundations · Care of altered functioning of sensory organ & Unconscious patient
Most important nursing intervention for an unconscious patient is?
1. A.
  Maintain proper circulation
2. B.
  Maintain airway patency
3. C.
  Provide mouth care
4. D.
  Provide skin care
Answer and explanation
Q25 · Nursing Foundations · Comfort, Rest & Sleep & Pain
Recommended maximum level of noise in hospital ward is?
1. A.
  35 db
2. B.
  50 db
3. C.
  60 db
4. D.
  85 db
Answer and explanation
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Q26 · Medical & Surgical Nursing · Urinary Tract Function
Most important nursing action while caring for a patient with renal stone?
1. A.
  Increase fluid intake
2. B.
  Limit fluids at night
3. C.
  Administer analgesic if severe pain
4. D.
  Vital sign record
Answer and explanation
Q27 · Child Health Nursing (Pediatrics) · Diseases of Gastrointestinal System and Liver
The most common manifestation of ulcerative colitis in children is?
1. A.
  Anal fissures
2. B.
  Abdominal distention
3. C.
  Abdominal cramps
4. D.
  Profuse diarrhea
Answer and explanation
Q28 · Applied Psychology · Cognitive Process
Which of the following therapy is based on learning theory?
1. A.
  Logo therapy
2. B.
  Psychoanalysis
3. C.
  Behavior therapy
4. D.
  Interpersonal therapy
Answer and explanation
Q29 · Medical & Surgical Nursing · Urinary Tract Function
For a patient with Nephrotic syndrome, which is the significant nursing intervention to be done?
1. A.
  Checking temperature
2. B.
  Measuring mid arm circumference
3. C.
  Checking capillary refill
4. D.
  Monitoring intake and output
Answer and explanation
Q30 · Applied Microbiology & Infection control · Biomedical Waste Management (BMW)
Infectious non sharp waste is collected in?
1. A.
  Yellow bag
2. B.
  Red bag
3. C.
  Blue bag
4. D.
  Black bag
Answer and explanation
Q31 · Community Health Nursing · Nutrition Assessment and Nutrition Education
Mission Indradhanush program is related to?
1. A.
  Breast feeding
2. B.
  Female education
3. C.
  Nutritional supplementation
4. D.
  Immunization
Answer and explanation
Q32 · Child Health Nursing (Pediatrics) · Miscellaneous
Best method of oxygen administration to a 2 month old baby is?
1. A.
  Hood
2. B.
  Nasal cannula
3. C.
  Facemask
4. D.
  Oxygen tent
Answer and explanation
Q33 · Applied Physiology · General Physiology
The body’s fastest mechanism for reacting to a change in pH is the Chemical Buffer System. Which is the most important extracellular buffer?
1. A.
  Phosphate Buffer
2. B.
  Protein Buffer
3. C.
  Bicarbonate-Carbonic Acid Buffer
4. D.
  Hemoglobin Buffer
Answer and explanation
Q34 · Child Health Nursing (Pediatrics) · Orthopedic disorders
Most common type of fracture seen in children?
1. A.
  Pott's fracture
2. B.
  Greenstick Fracture
3. C.
  Clavicle fracture
4. D.
  Colley's fracture
Answer and explanation
Q35 · Mental Health Nursing · Nursing process in Psychiatry
When a person is not aware about his/her mental illness, it is called?
1. A.
  Disorientation
2. B.
  Lack of insight
3. C.
  Unconsciousness
4. D.
  Lack of concentration
Answer and explanation
Q36 · Medical & Surgical Nursing · Miscellaneous
Early symptom of Myasthenia Gravis is?
1. A.
  Paralysis
2. B.
  Salivation
3. C.
  Ptosis
4. D.
  Dysphagia
Answer and explanation
Q37 · Medical & Surgical Nursing · Neurologic Function
The most important assessment in acute stage of an unconscious patient with CVA is?
1. A.
  Level of awareness and response to pain
2. B.
  Pupillary reflex and response to sensory stimuli
3. C.
  Coherence and sense of hearing
4. D.
  Patency of airway and adequacy of respiration
Answer and explanation
Q38 · Nursing Foundations · Miscellaneous
Approximately how much fluid is lost in acute weight loss of 0.5 kg?
1. A.
  50 ml
2. B.
  75 ml
3. C.
  500 ml
4. D.
  750 ml
Answer and explanation
Q39 · Medical & Surgical Nursing · Metabolic and Endocrine Function
The most common site for carcinoma in Pancreas is?
1. A.
  Head
2. B.
  Body
3. C.
  Tail
4. D.
  None
Answer and explanation
Q40 · Applied Psychology · Personality
According to Erickson's psychosocial theory, what is the developmental task of a toddler?
1. A.
  Autonomy/shame and doubt
2. B.
  Trust/Mistrust
3. C.
  Industry/inferiority
4. D.
  Initiative/ Guilt
Answer and explanation
Q41 · Pharmacology · Antimicrobial Drugs
Which anti tuberculosis drug is contraindicated during pregnancy?
1. A.
  Ethambutol
2. B.
  INH
3. C.
  Streptomycin
4. D.
  Rifampicin
Answer and explanation
Q42 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A person with sputum AFB positive is newly diagnosed to have Tuberculosis. Which category of treatment will the person receive?
1. A.
  Category I
2. B.
  Category II
3. C.
  Category III
4. D.
  Category IV
Answer and explanation
Q43 · Child Health Nursing (Pediatrics) · Nutrition
What is the main reason for under five morbidity and mortality?
1. A.
  Malnutrition
2. B.
  Diarrheal Disease
3. C.
  Asphyxia
4. D.
  Leukemia
Answer and explanation
Q44 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Murphy's sign is an important sign associated with?
1. A.
  Appendicitis
2. B.
  Pancreatitis
3. C.
  Cholilethiasis
4. D.
  Cholecystitis
Answer and explanation
Q45 · Applied Microbiology & Infection control · Immunity
Administration of readymade antibodies creates?
1. A.
  Active artificial immunity
2. B.
  Passive artificial immunity
3. C.
  Active natural immunity
4. D.
  Passive natural immunity
Answer and explanation
Q46 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Best test for liver dysfunction is?
1. A.
  SGPT
2. B.
  Serum Albumin
3. C.
  Serum Bilirubin
4. D.
  PT
Answer and explanation
Q47 · Medical & Surgical Nursing · Sensorineural Function
A 50-year-old patient complains of difficulty reading small print (Presbyopia). This is caused by:
1. A.
  The eyeball becoming too long.
2. B.
  The lens losing its elasticity and its ability to change shape (accommodation).
3. C.
  Clouding of the vitreous humor
4. D.
  Increased intraocular pressure.
Answer and explanation
Q48 · Applied Microbiology & Infection control · Isolation Precautions and Use of Personal Protective Equipment
Isolation required for a patient with measles is?
1. A.
  2 days
2. B.
  5 days
3. C.
  7 days
4. D.
  15 days
Answer and explanation
Q49 · Child Health Nursing (Pediatrics) · Normal Growth and its Disorders
Birth weight of a newborn baby is 3 kg. What is the expected weight of the baby at 1 year of age?
1. A.
  6 kg
2. B.
  9 kg
3. C.
  12 kg
4. D.
  15 kg
Answer and explanation
Q50 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Commonest cause of cerebral infarction?
1. A.
  Embolism
2. B.
  Venous thrombus
3. C.
  Aneurysm
4. D.
  Arterial thrombus
Answer and explanation